Search icon

KIMBALL MEDICAL CENTER, S.C.

Company Details

Entity Name: KIMBALL MEDICAL CENTER, S.C.
Jurisdiction: Illinois
Entity Type: Corporation - Domestic BCA
Status: Dissolved
Date Formed: 27 Dec 1971
Date of Dissolution: 24 Nov 2020
Company Number: CORP_49944268
File Number: 49944268
Type of Business: Incorporated under the Medical Corporation Act
Date Status Change: 24 Nov 2020
Place of Formation: ILLINOIS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN 2019 362728940 2020-08-18 KIMBALL MEDICAL CENTER, S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 7732356266
Plan sponsor’s address 1914 GREENWOOD AVE, WILMETTE, IL, 60091

Signature of

Role Plan administrator
Date 2020-08-18
Name of individual signing ELY R. TANDETER, M.D.
Valid signature Filed with authorized/valid electronic signature
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN 2018 362728940 2019-06-14 KIMBALL MEDICAL CENTER, S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 7732356266
Plan sponsor’s address 2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618

Signature of

Role Plan administrator
Date 2019-06-14
Name of individual signing ELY R. TANDETER, M.D.
Valid signature Filed with authorized/valid electronic signature
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN 2017 362728940 2018-07-02 KIMBALL MEDICAL CENTER, S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 7732356266
Plan sponsor’s address 2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618

Signature of

Role Plan administrator
Date 2018-07-02
Name of individual signing ELY R. TANDETER, M.D.
Valid signature Filed with authorized/valid electronic signature
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN 2016 362728940 2017-09-25 KIMBALL MEDICAL CENTER, S.C. 2
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 7732356266
Plan sponsor’s address 2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618

Signature of

Role Plan administrator
Date 2017-09-25
Name of individual signing ELY R. TANDETER, M.D.
Valid signature Filed with authorized/valid electronic signature
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN 2015 362728940 2016-10-01 KIMBALL MEDICAL CENTER, S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 7732356266
Plan sponsor’s address 2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618

Signature of

Role Plan administrator
Date 2016-10-01
Name of individual signing ELY R. TANDETER, M.D.
Valid signature Filed with authorized/valid electronic signature
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN 2014 362728940 2015-09-30 KIMBALL MEDICAL CENTER, S.C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 7732356266
Plan sponsor’s address 2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618

Signature of

Role Plan administrator
Date 2015-09-30
Name of individual signing ELY R. TANDETER, M.D.
Valid signature Filed with authorized/valid electronic signature
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN 2013 362728940 2014-10-14 KIMBALL MEDICAL CENTER, S.C. 4
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 7732356266
Plan sponsor’s address 2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618

Signature of

Role Plan administrator
Date 2014-10-13
Name of individual signing ELY R. TANDETER, M.D.
Valid signature Filed with authorized/valid electronic signature
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN 2012 362728940 2013-10-10 KIMBALL MEDICAL CENTER, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 7732356266
Plan sponsor’s address 2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618

Signature of

Role Plan administrator
Date 2013-10-10
Name of individual signing ELY R. TANDETER, M.D.
Valid signature Filed with authorized/valid electronic signature
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN 2011 362728940 2012-05-06 KIMBALL MEDICAL CENTER, S.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 7732356266
Plan sponsor’s address 2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618

Plan administrator’s name and address

Administrator’s EIN 362728940
Plan administrator’s name KIMBALL MEDICAL CENTER, S.C.
Plan administrator’s address 2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618
Administrator’s telephone number 7732356266

Signature of

Role Plan administrator
Date 2012-05-06
Name of individual signing ELY R. TANDETER, M.D.
Valid signature Filed with authorized/valid electronic signature
KIMBALL MEDICAL CENTER, S.C. PROFIT SHARING PLAN 2010 362728940 2011-04-27 KIMBALL MEDICAL CENTER, S.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1972-01-01
Business code 621111
Sponsor’s telephone number 7732356266
Plan sponsor’s address 2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618

Plan administrator’s name and address

Administrator’s EIN 362728940
Plan administrator’s name KIMBALL MEDICAL CENTER, S.C.
Plan administrator’s address 2837 NORTH MILWAUKEE AVENUE, CHICAGO, IL, 60618
Administrator’s telephone number 7732356266

Signature of

Role Plan administrator
Date 2011-04-27
Name of individual signing ELY R. TANDETER, M.D.
Valid signature Filed with authorized/valid electronic signature

Agent

Name and Address Role Appointment Date
PHILIP J GREENBLATT, 1955 RAYMOND DRIVE STE 111, NORTHBROOK, 60062, COOK-NOT IN CITY OF CHICAGO Agent 1997-12-16

President

Name and Address Role
ELY R TANDETER, 1914 GREENWOOD WILMETTE IL 60091 President

Shares

Class Series Voting Rights Authorized Shares Issued Shares Par Value
COMM No data Voting Rights 500 100000 No data

Date of last update: 13 Jan 2025

Sources: Illinois Office of the Secretary of State